FRED ALLEN CLARK PHD LMFT NPI 1790059269

NPI Information

NPI: 1790059269
Provider Name: FRED ALLEN CLARK, PHD, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2701 COTTAGE WAY
38
SACRAMENTO, CA
ZIP 95825
Phone: (916) 481-2071
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Fred Allen Clark, PHD, LMFT is a mental health counselor in Sacramento, CA. Fred Allen Clark, PHD, LMFT NPI is 1790059269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2701 COTTAGE WAY
38
SACRAMENTO, CA
ZIP 95825-225
Phone: (916) 481-2071
Fax: (916) 688-0801

The enumeration date for this NPI number is 3/1/2012 and was last updated on 5/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	3605	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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